Social Determinants of Health Disparities:
Moving the Nation to Care about Social Justice
Presentation slides and handouts
Camara Jones, M.D., M.P.H., Ph.D.
"Social Determinants of Health Disparities:
Moving the Nation to Care about Social Justice"
- Social determinants of health disparities differ from social determinants of health
- Health disparities don’t “just to happen”
- Definition of racism
- Generalized definition of structured inequity
- Three-part definition of health equity
- International Convention on the Elimination of all forms of Racial Discrimination
- Barriers in moving the nation to care about social justice
- Ahistorical culture
- Myth of meritocracy
- Focus on the individual
- Jones CP. Levels of Racism: A Theoretic Framework and a Gardener's Tale. Am J Public Health 2000;90(8):1212-1215.
- Jones CP, Truman BI, Elam-Evans LD, Jones CA, Jones CY, Jiles R, Rumisha SF, Perry GS. Using "socially-assigned race" to probe White advantages in health status. Ethnicity and Disease 2008;18(4):496-504.
- Jones CP, Jones CY, Perry GS, Barclay G, Jones CA. Addressing the Social Determinants of Children's Health: A Cliff Analogy. Journal of Health Care for the Poor and Underserved 2009;20(4)Suppl:1-12.
- Jones CP, Hatch A, Troutman A. Fostering a Social Justice Approach to Health: Health Equity, Human Rights, and an Antiracism Agenda. In RL Braithwaite, SE Taylor, H Treadwell (editors), Health Issues in the Black Community (3rd ed). San Francisco, CA: Jossey-Bass, 2009.
- Alexander M. The New Jim Crow: Mass Incarceration in the Age of Colorblindness. The New Press, 2010.
Ronny A. Bell, Ph.D., M.S.
Diabetes among American Indians: A Case Study in Moving from Health Disparities to Health Equity
- Bachar JJ, Lefler LJ, Lossie L, McCoy T, Bailey R, Bell R. Cherokee Choices: A community case study of a diabetes prevention program for American Indians. Preventing Chronic Disease 2006;3:1-9.
- The SEARCH for Diabetes in Youth Study Group. Liese AD, D'Agostino RB Jr, Hamman RF, Kilgo PD, Lawrence JM, Liu LL, Loots B, Linder B, Marcovina S, Rodriguez B, Standiford D, Williams DE. The burden of diabetes among U.S. youth: Prevalence estimates from the SEARCH for Diabetes in Youth Study. Pediatrics 2006;118:1510-1518.
- Smith-Morris C. Diabetes Among the Pima: Stories of Survival. University of Arizona Press, 2008.
- Wilson C, Gilliland S, Cullen T, Moore K, Roubideauz Y, Valdez L, Vanderwagen W, Acton K. Diabetes outcomes in the Indian health system during the era of the Special Diabetes Program for Indians and the Government Performance and Results Act. Am J Public Health 2005;95:1518-22.
- National Diabetes Education Program. The diabetes epidemic among American Indians and Alaska Natives. Available at: www.ndep.nih.gov/media/FS_AmIndian.pdf
- Mora B. Using Our Wit and Wisdom to Live Well with Diabetes. Indian Health Service, 2008.
Aida L. Giachello, Ph.D.
Addressing social determinants through CBPAR for community and system change
According to the World Health Organization, health refers to a state of complete physical, mental and social well-being and not merely the absence of diseases [WHO, 1948]. According to the 1986 Ottawa Charter For Health Promotion, the fundamental conditions and resources for good health include: peace, shelter, education, food, income, medical care, sustainable resources, social justice and equity, among many other factors.
In the US in the last decade there has been an increased recognition that these social, economic, political and environmental conditions affect health and that rather than blaming individuals for their poor health, we need to alter their social and living conditions. This is particularly critical in reducing health disparities among racial and ethnic populations in the US. This presentation provides examples on how community-based participatory action research (CBPAR) is a critical tool for community mobilization around health, for assessing community needs and assets, and for facilitating community empowerment and capacity-building that can move communities from data to social action.
- Giachello, A.L., Rodríguez, G., & Sayad, J. From data to social action: A case study of community-university partnership for environmental justice. In M. Sullivan and J.G. Kelly (Eds.), Collaborative research: University and community partnership. Washington, DC: American Public Health Association, 2005: 191-216.
- Castillo, A., Giachello, A.L., Bates, R., Concha, J., Ramirez, V., Sanchez, C., Pinsker, E., Arrom, JA. A Community Based Diabetes Education Program for Latinos: The Diabetes Empowerment Education Program. Diabetes Educator 2010; 36(4)(July/Aug): 583-593.
- Aida L. Giachello, Jose O. Arrom, Margaret Davis, Judith V. Sayad, et al. Reducing Diabetes Health Disparities
through Community-Based Participatory
Action Research: The Chicago Southeast
Diabetes Community Action Coalition Public Health Reports 2003(July-August);118:309-323.
Back to the top
Minority Health Project|
Department of Epidemiology
UNC Gillings School of Global Public Health
2104D McGavran-Greenberg, CB#7435 | Chapel Hill, NC 27599-7435
Phone 919-966-7436 | Fax 919-966-2089| E-mail Minority_Health@unc.edu
updated: 5/16/2012, 6/4,5/2012 by Vic